PT.

ALISHA JAYA MEDIKA

Medical and Hospital Equipment Distributor

Service Report
CustomerDetails
5067 – RSUD.dr.Moch.Ansari Saleh
Customer Name :
Jl.Brig Jend.Hasan Basri No,1 Alalak Utara Kec Banjarmasin
Equipment Location :
Utara.Kalimantan Selatan 70125
SONo :
Contact Name : Mr.Imam
Contact Phone : +628115003580
Initial Problem Description : Coil brain does not work issue
Contract Class : Not Service Contract
Report Type : Repaired separe part
Request No. : 23-111333

Contract End Day : --

EquipmentDetails
Initial Equipment Status : Ready
Product Description : MRI Aperto Lucent 0,4 Tesla
System ID : X421
Serial No. : 1519
Customer Eq# : --

Activity

Activity # : 2-20240324
Activity Type : Repaired acceccorise coil brain large
Reported Problem : Appear pop up error code 22038 “Singnal underflow”( Stict
Frequency Search )
Identified Problem : Acceccorise coil MRI
Solution : Check and inspect electricity from hospital OK
- General maintenance
- All check connector and port coil from table
- Test frequency coill from receiver unit not good
- Repaired and replacement component coil brain
- Reinsert connection all cable table to gantry
- Reinsert connection cable gantry to cabinet console
- General cleaning all unit
Test Procedure: : Turn On unit and test
- Creat new patien from pc control
- Connect coil brain to table port
- Insert penthom No.3
- Start scano Axial,Sagital and coronal OK
- Scano complete
- Coil brain functional OK
Test Passed: : Yes
Close Date: : 26 Mar 2024
Field Engineer: : Sukrisdianto
Office : Jalan Raden Inten II AG 14 No. 1 C Duren Sawit
Kec. Duren Sawit Jakarta Timur 13440
Telp. (021) 4800535 Page1of2
E-mail : ptalishajayamedika@yahoo.com
 Labor
DATE TYPE START TIME - END TIME HOURS
24 Mar 2024 Repaired 15:00:00 - 22:00:00 7.00
25 Mar 2024 Maintenance & 11:00:00 - :23:00:00 12.00
repaired
26 Mar 2024 Functional test on 11:00:00 – 13:00:00 2:00
patien

Materials
PCB Receiver

26-Mar-202410:00

26-Mar-2024 10:00 26-Mar-2024 10:00

CustomerSignature1

Office : Jalan Raden Inten II AG 14 No. 1 C Duren Sawit

Kec. Duren Sawit Jakarta Timur 13440
Telp. (021) 4800535
E-mail : ptalishajayamedika@yahoo.com